Radical Acceptance

Marsha Linehan PhD desenvolveu  um modelo terapêutico designado por  Dialectical Behavioral Therapy - DBT ou, em português, Terapia Comportamental Dialética.  O modelo construiu-se a partir do da CBT (Cognitive Behavioural Therapy - Terapia Cognitivo-comportamental) e dos seus "pontos fracos" na terapia de indivíduos com perturbação emocional intensa. Entre as estratégias e princípios propugnados encontra-se o de "radical acceptance". Esta estratégia é dupla: para o "paciente" implica a aceitação da situação e realidade tal como ela é se apresenta pela prática das Brahmavihāras budistas, em particular da  Equanimidade. Para o terapeuta implica uma postura de aceitação e validação tanto da experiência, sentimento e legitimidade do sofrimento como das competências  do paciente como capacitadores da mudança: 

"HOW IS DBT DIFFERENT FROM REGULAR COGNITIVE BEHAVIORAL THERAPY?

 

DBT is a modification of standard cognitive behavioural treatment. As briefly stated above, Marsha Linehan and her team of therapists used standard CBT techniques, such as skills training, homework assignments, symptom rating scales, and behavioral analysis in addressing clients’ problems. While these worked for some people, others were put off by the constant focus on change. Clients felt the degree of their suffering was being underestimated, and that their therapists were overestimating how helpful they were being to their clients. As a result, clients dropped out of treatment, became very frustrated, shut down or all three. Linehan’s research team, which videotaped all their sessions with clients, began to notice new strategies that helped clients tolerate their pain and worked to make a “life worth living.” As acceptance strategies were added to the change strategies, clients felt their therapists understood them much better. They stayed in treatment instead of dropping out, felt better about their relationships with their therapists, and improved faster.

The balance between acceptance and change strategies in therapy formed the fundamental “dialectic” that resulted in the treatment’s name. “Dialectic” means ‘weighing and integrating contradictory facts or ideas with a view to resolving apparent contradictions.’ In DBT, therapists and clients work hard to balance change with acceptance, two seemingly contradictory forces or strategies. Likewise, in life outside therapy, people struggle to have balanced actions, feelings, and thoughts. We work to integrate both passionate feelings and logical thoughts. We put effort into meeting our own needs and wants while meeting the needs and wants of others who are important to us. We struggle to have the right mix of work and play.

In DBT, there are treatment strategies that are specifically dialectical; these strategies help both the therapist and the client get “unstuck” from extreme positions or from emphasizing too much change or too much acceptance. These strategies keep the therapy in balance, moving back and forth between acceptance and change in a way that helps the client reach his or her ultimate goals as quickly as possible. 

In http://behavioraltech.org/downloads/dbtFaq_Cons.pdf

  

Os efeitos do trauma complexo (complex PTSD) na saúde, nas perturbações nervosas, e cognitivas (por ex. défice de atenção) e em particular no desregulamento do eixo hipotalámico-hipofisario-adrenal (HPA Axis) está sobejamente comprovado. Síndrome de fadiga crónica, fibromialgia, perturbações gastrintestinais, asma, alergias, disfunções hormonais, etc.  estão entre as sequelas mais comuns.   O desregulamento do EHHA tem consequências "inflamatórias" em todos os sistemas corporais incluindo no cérebro perpetuando o trauma original pela debilitação das funções vitais. Tendo esta questão já sido amplamente estudada esta questão é incontroversa.

Vamos então continuar a medicar os sintomas? 
A partir o ser "às fatias"? 
Praticar  "medicina forense"? 
Autopsiar os vivos? 

A resistência de prestadores de cuidados médicos é assumida por Gabor Maté aqui: 

Gábor Máté MD Attachment = Wholeness and Health or Disease, ADD, Addiction, Violence: https://www.youtube.com/watch?v=Earq-eR3MQI 

Maté, Gabor. 2003. When the body says no: understanding the stress-disease connection. Hoboken, N.J.: J. Wiley.

http://restorativemedicine.org/wp-content/uploads/2013/03/5.-Addiction-Childhood-Trauma-Stress.pdf 

Ader, Robert. 2007. Psychoneuroimmunology: Vol. 1-2. Amsterdam;Boston: Elsevier/Academic Press.